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Organization

LINDA KILLIAN, LCSW, LCAS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA HALL KILLIAN LCSW, LCAS (OWNER)
(919) 732-3504
Entity
Organization

Contact information

Practice address
960 CORPORATE DR STE 401, HILLSBOROUGH, NC 27278-8560
(919) 732-3504
(919) 732-3557
Mailing address
PO BOX 772, 960 CORPORATE DRIVE, SUITE 401, HILLSBOROUGH, NC 27278-0772
(919) 732-3504
(919) 732-3557

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
C002075
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
C002075
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6002362
NC
Enumeration date
05/18/2012
Last updated
05/18/2012
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